Suzuki M, Suzuki S, Akahori T, Miyashita A, Yoshioka T, Sato M, Okubo T
First Department of Internal Medicine, Yokohama City University School of Medicine, Japan.
Eur Respir J. 1997 Feb;10(2):430-6. doi: 10.1183/09031936.97.10020430.
The shortening of parasternal intercostal muscles (Para) and crural (Cru) and costal diaphragms (Cos) are not precisely understood. We therefore examined shortening patterns of these inspiratory muscles by using chronically implanted sonomicrometers in dogs. To avoid acute effects of surgery, measurements were performed 3 weeks after implanting the sonomicrometers. Patterns of length changes of Para, Cru, and Cos were measured during hypoxia and hypercapnia under two levels of anaesthesia. Respiratory length change (delta L) was assessed as a percentage change relative to the resting length at functional residual capacity (LFRC). Peak tidal shortening was defined as the maximal change from LFRC (delta L/LFRC). Under light anesthesia, the delta L/LFRC was the same among the three muscle groups at all tidal volumes (VT). Under deep anaesthesia, the delta L/LFRC both of Cru and Cos exceeded that of Para. Under light anaesthesia, the maximal shortening velocity ((delta L/LFRC)/delta t) of Cru was greater than that of Para. Under deep anaesthesia, the (delta L/LFRC)/delta t of Para was exceeded by that both of Cru and Cos. Furthermore, the (delta L/LFRC)/delta t of each inspiratory muscle was greater during hypoxia than during hypercapnia at equal volume. We conclude that: 1) the contribution of the diaphragm to ventilation increases during deep anaesthesia; 2) the muscle shortening velocity during hypoxia or hypercapnia is lower in parasternal intercostal muscles than in the diaphragm; and 3) there is no difference in the shortening pattern between crural and costal diaphragms.
胸骨旁肋间肌(Para)、膈脚(Cru)和肋膈肌(Cos)的缩短情况尚未完全明确。因此,我们通过在犬身上长期植入超声微测仪来研究这些吸气肌的缩短模式。为避免手术的急性影响,在植入超声微测仪3周后进行测量。在两种麻醉水平下,于低氧和高碳酸血症期间测量Para、Cru和Cos的长度变化模式。呼吸长度变化(δL)以相对于功能残气量(LFRC)时静息长度的百分比变化来评估。潮气量峰值缩短定义为相对于LFRC的最大变化(δL/LFRC)。在浅麻醉下,所有潮气量(VT)时,三组肌肉的δL/LFRC相同。在深麻醉下,Cru和Cos的δL/LFRC均超过Para。在浅麻醉下,Cru的最大缩短速度((δL/LFRC)/δt)大于Para。在深麻醉下,Para的(δL/LFRC)/δt低于Cru和Cos。此外,在相同容积时,各吸气肌在低氧期间的(δL/LFRC)/δt大于高碳酸血症期间。我们得出以下结论:1)在深麻醉期间,膈肌对通气的贡献增加;2)在低氧或高碳酸血症期间,胸骨旁肋间肌的肌肉缩短速度低于膈肌;3)膈脚和肋膈肌的缩短模式无差异。